| NPI | 1265817860 |
|---|---|
| Former Name | MICHELLE MARY OMDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 5891) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 95052267) |
| 163W00000X Registered Nurse (Licence: MN 196793-5) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN OMD1-04374274) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2018-11-19 |