| NPI | 1215331855 |
|---|---|
| Former Name | DANIELLE MAMMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704280142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704280142) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2018-08-03 |