| NPI | 1215946561 |
|---|---|
| Former Name | DONNA IANACONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0000674) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 674) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-01-28 |