| NPI | 1518695238 |
|---|---|
| Former Name | DANIELLE CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11021210) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |