NPI | 1043097934 |
---|---|
Former Name | DANA MICHELLE ANTHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2023035582) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-82517-071) |
Enumeration Date | 2023-09-13 |
Last Update Date | 2023-09-25 |