| NPI | 1700395381 |
|---|---|
| Former Name | DANIELLE LEIGH DUMELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A131758) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 041.407490) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-05-27 |