| NPI | 1154326874 |
|---|---|
| Former Name | BRENDA RAE CRONK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2002021268) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0081080) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-01-28 |