| NPI | 1417974908 |
|---|---|
| Former Name | MIMI C CLEVELAND BREEDLOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R853077) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-07-24 |