| NPI | 1750304820 |
|---|---|
| Former Name | DANIELLE ELIZABETH BERKOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02472) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 00102472) |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00030400) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-05-23 |