| NPI | 1124492616 |
|---|---|
| Former Name | DANIELLE BONITATIBUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 641556-1) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-02-05 |