NPI | 1043636756 |
---|---|
Former Name | DANIELLE B BASINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209011310) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011310) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2025-01-16 |