| NPI | 1508216599 |
|---|---|
| Other Name | DARCY LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC972) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7990) |
| 363A00000X Physician Assistant (Licence: ND PAC0778) | |
| 363AM0700X Physician Assistant, Medical (Licence: KY TC972) | |
| 363AS0400X Physician Assistant, Surgical (Licence: KY TC972) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-10-09 |