NPI | 1023438058 |
---|---|
Former Name | DANIELLE DAITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CO DR.0062212) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: PA NT207182) |
208M00000X Hospitalist (Licence: CO DR.0062212) | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-04-16 |