NPI | 1891965927 |
---|---|
Former Name | DANA MICHELLE NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3005073P) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3005073) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2022-09-01 |