| NPI | 1891062642 |
|---|---|
| Former Name | TONI LYNN DAMEWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150169NP) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2019-10-09 |