NPI | 1235816943 |
---|---|
Former Name | DANIELLE BLADEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MA RN2331627) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2331627) |
Enumeration Date | 2023-07-04 |
Last Update Date | 2023-07-04 |