| NPI | 1285278366 |
|---|---|
| Former Name | DANIELLE CORISSA STERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000011306) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |