| NPI | 1548209463 |
|---|---|
| Former Name | PAULA RENEE DEMARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05096) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 003964) |
| 363A00000X Physician Assistant (Licence: TN 1271) | |
| 363A00000X Physician Assistant (Licence: SC PA2079) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-10-30 |