| 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 |