NPI | 1083956007 |
---|---|
Former Name | DANIELLE LYN HOOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14267) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14267-NP) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2020-09-25 |