NPI | 1184223695 |
---|---|
Former Name | DANIELLE BUTLER ROURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28446) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 28446) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2024-01-03 |