| NPI | 1558678953 |
|---|---|
| Former Name | MICHELLE DIMATULAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 4957081) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 13193) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2024-07-03 |