| NPI | 1184336893 |
|---|---|
| Former Name | DANYELLE RIDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10004210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 269021) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-02-10 |