NPI | 1902467038 |
---|---|
Former Name | DANIELLE R DOBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704282702) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704282702) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2023-02-08 |