NPI | 1659941094 |
---|---|
Former Name | LORNA MARIE DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023157) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.429733) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041429733) | |
Enumeration Date | 2021-06-28 |
Last Update Date | 2021-07-06 |