| NPI | 1528543618 |
|---|---|
| Former Name | DANIELLE E CAPIERSEHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343611) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-05-15 |