NPI | 1932748522 |
---|---|
Former Name | DANIELLE ABBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 55162) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 55162) |
Enumeration Date | 2019-12-30 |
Last Update Date | 2023-12-29 |