NPI | 1053146001 |
---|---|
Former Name | SHIENNE D DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 756027) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 756027) |
Enumeration Date | 2024-09-07 |
Last Update Date | 2024-09-07 |