| NPI | 1639520703 |
|---|---|
| Former Name | DANA VARIE BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1696092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-113701) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1696092) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2025-12-30 |