| NPI | 1861457269 |
|---|---|
| Former Name | MELISSA NICOLE SHOTKOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100954) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-04-18 |