NPI | 1255944039 |
---|---|
Former Name | ERICA DUNBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008408) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11008408) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2023-11-22 |