| 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) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-09-26 |