| NPI | 1164191052 |
|---|---|
| Former Name | CAMARAE MIKAELA BERGQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 263796) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-09-30 |