NPI | 1114293834 |
---|---|
Former Name | DANIELLE DANAE PLATTENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q9283) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0055101) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2022-08-11 |