NPI | 1609216803 |
---|---|
Former Name | DANIELLE GRAHAM FECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006300) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 5006300) |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO NP0990745) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006300) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2023-01-17 |