NPI | 1770897639 |
---|---|
Former Name | KAREN MARIE HEIDRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 73836) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |