| NPI | 1780335976 |
|---|---|
| Former Name | MATAYA MIKESELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 152921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN728466) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-02-04 |