| NPI | 1053762757 |
|---|---|
| Former Name | DANIELLE FUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024945) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-05-09 |