| NPI | 1316160427 |
|---|---|
| Former Name | DANIELLE LYNN BEDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-37833) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2010007579) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-10-08 |