| NPI | 1124189865 | 
|---|---|
| Former Name | DORCAS S OGLE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001630A)  | 
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085002858)  | 
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9110831)  | |
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2024-03-13 |