| NPI | 1538715040 |
|---|---|
| Former Name | ANTOINETTE MARIE EDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95000839) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 689210) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |