| NPI | 1598204711 |
|---|---|
| Former Name | DANIELLE KERSHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA004070) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058876) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-09-20 |