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 |