| NPI | 1447027206 |
|---|---|
| Former Name | DANIELLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ14972600) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NJ 26NJ14972600) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-04-26 |