NPI | 1891276051 |
---|---|
Former Name | DANIELLE ELYSE BIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704289946) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704289946) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-08-14 |