| NPI | 1588924419 |
|---|---|
| Former Name | DANIELLE ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35 122918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 122918) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2019-05-20 |