| NPI | 1780060517 |
|---|---|
| Former Name | DANAE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277005381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277005381) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2026-07-29 |