| NPI | 1083037451 |
|---|---|
| Former Name | MICHELLE LYNN FRESHCOLN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 771977) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 126531) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2017-05-11 |