NPI | 1821732199 |
---|---|
Former Name | DANA LYNN PAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP032897) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704238064) |
Enumeration Date | 2022-04-23 |
Last Update Date | 2025-06-12 |