NPI | 1295217453 |
---|---|
Other Name | DAKOTA LYNN TESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 2672) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059983) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2024-01-05 |