| NPI | 1427125947 |
|---|---|
| Former Name | DANIELLE M SURRELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5002194) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050-02194) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-08-05 |