NPI | 1497022107 |
---|---|
Former Name | DANIELLE ROSSANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308250-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627032) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY F308250-1) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY F308250-1) | |
Enumeration Date | 2011-11-23 |
Last Update Date | 2018-09-07 |