| NPI | 1760821383 |
|---|---|
| Former Name | PETRA W. VICKNAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9233868) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-05-14 |