NPI | 1174078364 |
---|---|
Former Name | DANIELLE TANIKA JOYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2279445) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2019-10-09 |