| NPI | 1003839176 |
|---|---|
| Former Name | DANA M. CIRIACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP8704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 148732) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-01-13 |