Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP024755 | PA |
NPI | 1417617424 |
---|---|
Provider Name | Danielle Dolci |
First Address | Bordentown, NJ 08505-2023 |
Second Address | Philadelphia, PA 19107-5191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2021 |
Last Update Date | 19/12/2021 |