| NPI | 1245652734 |
|---|---|
| Former Name | DANIELLE M DUBOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00604200) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013633) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2024-11-11 |