NPI | 1417366949 |
---|---|
Former Name | MARY ELIZABETH DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007729) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007729) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2015-02-10 |