| NPI | 1114420528 |
|---|---|
| Former Name | DANIELLE MARIE POUPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704292842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704292842) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704292842) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-03-30 |