| NPI | 1053308890 |
|---|---|
| Former Name | MELISSA DIANA RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN143177) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-05-17 |