NPI | 1427394360 |
---|---|
Former Name | HEIDI CHRISTINE MITTELSTADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 31) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R 173365-1) |
Enumeration Date | 2012-12-21 |
Last Update Date | 2021-02-01 |