NPI | 1033359005 |
---|---|
Former Name | MICHAELA J BURATCZUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN01764) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN242167) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CT 093735) | |
Enumeration Date | 2009-03-03 |
Last Update Date | 2018-03-17 |