NPI | 1023653854 |
---|---|
Former Name | DAWN RISHELLE LANSING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-72097-082) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019035013) |
Enumeration Date | 2019-11-15 |
Last Update Date | 2019-11-15 |