| NPI | 1487641643 |
|---|---|
| Former Name | MICHELLE POTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9333984) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL 9333984) |
| 171000000X Military Health Care Provider (Licence: NH 041448-23) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-04-22 |