| NPI | 1194583153 |
|---|---|
| Former Name | DANA BOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-029869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041446757) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2025-01-17 |