| NPI | 1902173792 |
|---|---|
| Former Name | DANIELLE MARIE VAN DAMME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704244258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012542) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704244258) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704244258) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2023-09-13 |