NPI | 1992158406 |
---|---|
Former Name | ARICA LANAE DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8318) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309.010033) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2019-08-28 |