| NPI | 1023061751 |
|---|---|
| Other Name | DANELLE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 54365) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 054365) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-08-25 |