| NPI | 1396316261 |
|---|---|
| Former Name | MICHELLE E RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001561) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 31357) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2026-06-29 |