| NPI | 1154607695 |
|---|---|
| Former Name | DANIELLE MARIE BLEEKER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00709600) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 1099459) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2025-01-28 |