NPI | 1649569005 |
---|---|
Former Name | DANIELLE RAE HANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036134789) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 122232) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2016-10-12 |