NPI | 1629002639 |
---|---|
Other Name | MARYANN DUNLAP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 0094000300N3) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 94000300N3) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-10-01 |