| NPI | 1457984759 |
|---|---|
| Former Name | DANA MARIE BUCKALEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: PA SP021222) |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2021-03-15 |