| NPI | 1881933729 |
|---|---|
| Former Name | OLGA BOTVENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN582211) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00652) |
| 163W00000X Registered Nurse (Licence: DE L1-0034295) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR13516000) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-05-15 |