| NPI | 1942566302 |
|---|---|
| Former Name | DANIELLE NICOLE RIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MT MED-PHYS-LIC-66484) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 61242-20) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-07-21 |