| NPI | 1689452898 |
|---|---|
| Former Name | DANIELLE M PERNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015180A) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-12-09 |