| NPI | 1023269016 |
|---|---|
| Former Name | MARLA JEAN POKLEMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 080137) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 077722) |
| 163W00000X Registered Nurse (Licence: CT 077722) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-12-02 |