NPI | 1770716599 |
---|---|
Former Name | DANA M. WISEHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00333900) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71003016A) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2024-12-17 |