| 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 |