NPI | 1588720098 |
---|---|
Former Name | DANIELLE BERNADETTE RESSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00167500) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00167500) |
363AM0700X Physician Assistant, Medical (Licence: PA MA051494) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2020-10-19 |