| NPI | 1790083251 |
|---|---|
| Former Name | DANIELLE BARTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12258) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 56541) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2024-03-13 |