| NPI | 1285156604 |
|---|---|
| Other Name | DANIELLE LAUREN OUTLAW-PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D-0006995-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 12339) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-08-30 |