Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A103773 | CA |
N | 208600000X | Surgeon | A103773 | CA |
Y | 208200000X | Surgeon | MD.206268 | LA |
Y | 208600000X | Surgeon | MD.206268 | LA |
NPI | 1003074550 |
---|---|
Provider Name | Danielle M Pickham |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 18/01/2022 |