| NPI | 1447212444 |
|---|---|
| Former Name | MYREDA LYNN ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MD NP076699) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MD R076699) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 395189) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 14261) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2014-09-15 |