| NPI | 1720218928 |
|---|---|
| Former Name | MICHELLE LYNN BURQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1688573) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2012-07-19 |