| NPI | 1356127484 |
|---|---|
| Former Name | MARY EMELINE HEFFERAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704303268) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704303268NSA230ON) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-13 |