| NPI | 1073751012 |
|---|---|
| Former Name | DANIELLE M DRZAZGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004287) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013115) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2016-04-21 |