| NPI | 1841625654 |
|---|---|
| Former Name | DANIELLE AYERS DESTFINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R238171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP016305) |
| 163W00000X Registered Nurse (Licence: MD R238171) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2024-11-25 |