NPI | 1902458383 |
---|---|
Former Name | DANA MARIE FOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R37639) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R37639) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2023-01-03 |