| NPI | 1740503093 |
|---|---|
| Former Name | DANIELLE MELISSA DITTRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20739) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP20739) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP010728) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2020-10-13 |