NPI | 1902261340 |
---|---|
Former Name | DAWN L CRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201401462RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHPC-001204) |
163W00000X Registered Nurse (Licence: WA RN60392843) | |
Enumeration Date | 2015-12-30 |
Last Update Date | 2023-04-27 |