| NPI | 1649679473 |
|---|---|
| Former Name | DANAE ROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 273793) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001127) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350609) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-10-13 |