| NPI | 1750733044 |
|---|---|
| Former Name | DANIELLE J CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00433100) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-05-31 |