NPI | 1972767887 |
---|---|
Former Name | DANA SAVAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000406) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10027872) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2011-11-03 |