| NPI | 1073581351 |
|---|---|
| Former Name | MICHELLE DOMBKOWSKI DISTASIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2139842) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-05-22 |