NPI | 1821354614 |
---|---|
Former Name | DANIELLA SAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003942A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003942A) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2025-02-10 |