| NPI | 1407845613 |
|---|---|
| Former Name | DANA L NITKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 8654) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3402) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2012-05-01 |