| NPI | 1487859997 |
|---|---|
| Former Name | DAYNA JO DEPPING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 38897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2014-02-24 |