NPI | 1033100631 |
---|---|
Former Name | DANA ELIZABETH MISSELHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 2746) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: KY PA1012) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2021-11-03 |