| NPI | 1134325764 |
|---|---|
| Former Name | DAWN RENEE BEENBLOSSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IA K085842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 085842) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-08-26 |