NPI | 1558702340 |
---|---|
Former Name | DANIELLE MCCAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5068) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ TAP5068) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2021-03-04 |