NPI | 1588940761 |
---|---|
Former Name | DAWN PAULINE HARTZELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003866A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 27053418A) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2022-10-20 |