NPI | 1093729162 |
---|---|
Former Name | DANIELLE L CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 056692-21) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 253394) |
363LF0000X Nurse Practitioner, Family (Licence: NH 0566912303) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |