| NPI | 1386111938 |
|---|---|
| Former Name | NICOLE KRISTINE DEMARTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704288275) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-12-11 |