| NPI | 1548469307 |
|---|---|
| Former Name | MICHELE M LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 70449) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN331682L) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-12-12 |