NPI | 1154607695 |
---|---|
Former Name | DANIELLE MARIE BLEEKER |
Entity Type | Individual |
Gender | Female |
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 | 2024-04-03 |