NPI | 1861781007 |
---|---|
Former Name | MICHELLE LYNETTE BRENEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704244511) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2018-12-05 |