NPI | 1548584873 |
---|---|
Former Name | DONNA LEIGH OANDASAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78796) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN237812) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2021-02-09 |