| NPI | 1124330329 |
|---|---|
| Former Name | MICHELLE DELLAVALLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00295000) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 581615-1) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2016-12-09 |