NPI | 1366979437 |
---|---|
Former Name | MICHELLE DAWN CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209015725) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2021-07-06 |