| NPI | 1245757236 |
|---|---|
| Former Name | DANIELLE VILLNUVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005333RX) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT004112) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-01-25 |