NPI | 1568967156 |
---|---|
Former Name | DANIELLE SANCHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD481808) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11044800) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-10-04 |