| NPI | 1497781454 |
|---|---|
| Former Name | DANA KAY CHURCHWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 111819) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-10-18 |