| NPI | 1104160753 |
|---|---|
| Other Name | LYDIE-DANI FREDERIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010195) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016255) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00345300) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2025-01-06 |