NPI | 1629211974 |
---|---|
Former Name | DANIELLE FAITH HANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP60403035) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010449) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2021-05-18 |