| NPI | 1366640500 |
|---|---|
| Former Name | DANETTE MARIE DUGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN105325 AP05190) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-12-19 |