NPI | 1609646231 |
---|---|
Professional Name | DANIELLE MALLORY LISTHROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01476000) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-04 |