| NPI | 1053323345 |
|---|---|
| Former Name | DAWN MARIE VAN RULER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R127266-2) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 3687) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-07-26 |