NPI | 1366792665 |
---|---|
Former Name | ERIN MELISSA MACKNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22237) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 22237) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2022-04-11 |