NPI | 1639781800 |
---|---|
Former Name | DANIELLE MARIE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH APRN.CNP.0027243) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-10-19 |