NPI | 1245497387 |
---|---|
Former Name | DANIELLE N DIENERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX N3337) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD431431) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2019-05-28 |