| NPI | 1982177218 |
|---|---|
| Former Name | MICHELLE MOEBUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD r247797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274657) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177218) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-03-19 |