| NPI | 1578072823 |
|---|---|
| Former Name | DANIELLE MARIE DEPHILLIPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021812) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-11-10 |