| NPI | 1114281862 |
|---|---|
| Former Name | DANIELLE KATHERINE EBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 67473-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075300A) |
| 207P00000X Emergency Medicine (Licence: AZ R73249) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2020-11-18 |