| NPI | 1003839176 |
|---|---|
| Former Name | DANA M. CIRIACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95027907) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 148732) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP8704) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-03-17 |