| NPI | 1225018179 |
|---|---|
| Former Name | BONITA K MATELIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704084743) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-04-05 |