| NPI | 1740646892 |
|---|---|
| Other Name | DANIELLE LYNNE MAX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SD P011829) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN MN-68919-1) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |