| 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 |