| NPI | 1609135532 |
|---|---|
| Former Name | MICHELE CHERISE MINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 697285) |
| 163W00000X Registered Nurse (Licence: OR 200743847RN) | |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2013-08-08 |