NPI | 1437717766 |
---|---|
Former Name | MEGAN NOELLE DANIELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 7571) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 221875-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7571) | |
Enumeration Date | 2019-06-02 |
Last Update Date | 2023-02-08 |