| NPI | 1417781956 |
|---|---|
| Former Name | ELLEN KATHLEEN DANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15123100) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |