NPI | 1144451568 |
---|---|
Former Name | DAWN ROSA JENKINSMCNAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 178971) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004444) |
Enumeration Date | 2009-08-03 |
Last Update Date | 2023-03-07 |