| NPI | 1811223738 |
|---|---|
| Former Name | ELAINA SUSAN FUSSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1695582) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 083446) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2022-07-21 |