| NPI | 1568811560 |
|---|---|
| Former Name | DANIELLE LEE WALLPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008530A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010520) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18882-NP) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-03-03 |