NPI | 1861429839 |
---|---|
Other Name | DONNA JOANN LARSON CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP1362412) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP1362412) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2017-03-31 |