| NPI | 1669022067 |
|---|---|
| Former Name | DANIELLE RAVANCHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-12-01 |