NPI | 1679719819 |
---|---|
Former Name | DANA E MCCRARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4057) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 4057) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2020-02-04 |