| NPI | 1063082287 |
|---|---|
| Former Name | ELLEN DEKLEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015015857) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-08-07 |