NPI | 1346256062 |
---|---|
Former Name | MICHELLE M BREAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11014918) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L60A00471) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-09-17 |