| NPI | 1023348505 |
|---|---|
| Former Name | MICHELLE ALYN MASTALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN554899) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |