| NPI | 1053655928 |
|---|---|
| Former Name | DANIELLE RAE LINGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5005940) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 27745) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2023-08-17 |