| NPI | 1972555381 |
|---|---|
| Former Name | NICOLE MARIE ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN159232) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2009-03-19 |