NPI | 1093041295 |
---|---|
Former Name | DANA PURCELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006207) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1370) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2020-09-15 |