NPI | 1902001712 |
---|---|
Former Name | DANA LYNNE DEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20719) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20719) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2023-08-11 |