| NPI | 1174043020 |
|---|---|
| Former Name | DAWN MARIE DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704284552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704284552) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-11-07 |