NPI | 1710387089 |
---|---|
Former Name | DANIELLE S. KRUGLAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172606) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00517500) |
Enumeration Date | 2014-08-24 |
Last Update Date | 2023-08-10 |