NPI | 1750936076 |
---|---|
Former Name | DANIELLE STEPHANIE VITTATOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000205318) |
Enumeration Date | 2019-08-04 |
Last Update Date | 2019-12-11 |