| NPI | 1083010490 |
|---|---|
| Former Name | DANIELLE N. FUENTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE APN-0001800) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000800) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-11-24 |