| NPI | 1982940359 |
|---|---|
| Former Name | NICOLE E HENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN323688) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1127187) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2016-12-29 |