| NPI | 1144558669 |
|---|---|
| Former Name | DONNA FAYE DENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009697) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1471) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2024-06-27 |