NPI | 1043685415 |
---|---|
Former Name | MARCELL BAHOURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704281316) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704281316) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2022-04-13 |