NPI | 1134899750 |
---|---|
Former Name | DANIELLE J KENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2301924) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2301924) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2023-11-15 |