NPI | 1699391458 |
---|---|
Former Name | DANIELLE LINGNAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006668A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-08-24 |