| NPI | 1851372734 |
|---|---|
| Former Name | ANITA MARIE MICKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 644316) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-12-07 |