| NPI | 1184942013 |
|---|---|
| Former Name | DANIELLE RENEE DETTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036135257) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-08-23 |