NPI | 1073927695 |
---|---|
Former Name | DANIELLE K FAULKNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029025) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.395890) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2021-07-07 |