| NPI | 1760789523 |
|---|---|
| Former Name | DANIELLE JO LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN204956) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2015-04-16 |