NPI | 1528333093 |
---|---|
Former Name | DAWN NICOLE URCAVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991559) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75459-041) |
Enumeration Date | 2012-03-17 |
Last Update Date | 2016-08-22 |