NPI | 1972995389 |
---|---|
Former Name | DANIELLE LASALLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA OS020390) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS020390) |
Enumeration Date | 2015-02-22 |
Last Update Date | 2024-06-25 |