| NPI | 1265776603 |
|---|---|
| Former Name | BRENDA LYNN KOPPENHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN566127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN566127) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2024-01-10 |