| NPI | 1003305269 |
|---|---|
| Former Name | MICHELLE RENEE VERSTRAETE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557590-121) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-07-06 |