NPI | 1235134594 |
---|---|
Former Name | DARCY H CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IA 1422) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MN 11811) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2015-06-10 |