| NPI | 1295394005 |
|---|---|
| Former Name | DANIELLE MARIE CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA DO55474) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-11624) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2025-09-20 |