| 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 |