| NPI | 1912379421 |
|---|---|
| Former Name | DANIELLE CHAUSSINAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7222) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA PA52195) |
| 363A00000X Physician Assistant (Licence: CA PA52195) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-06-15 |