| NPI | 1154648327 |
|---|---|
| Former Name | DANAE LYNELL DOUBEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0069475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37060) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2022-11-29 |