NPI | 1922053818 |
---|---|
Former Name | DANIELLE J PEROVSEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259433) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704259433) |
163WP0200X Registered Nurse, Pediatrics (Licence: OH RN305345) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-08364) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2008-02-22 |