| NPI | 1831961556 |
|---|---|
| Former Name | DANIELLE MARIE LANPHEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2302594) |
| 163W00000X Registered Nurse (Licence: RI RN76783) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-03-08 |