| 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 | 2025-06-25 |