| NPI | 1255771754 |
|---|---|
| Former Name | ALICE MARIE RUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9210034) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9210034) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-07-31 |