| NPI | 1922294131 |
|---|---|
| Former Name | MIA REDWINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX 144823) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: CO 0991890-NP) |
| 163W00000X Registered Nurse (Licence: CO 182138) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-04-30 |