| NPI | 1639488075 |
|---|---|
| Former Name | DANA M DIMILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2010-0071) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA213696) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2011-08-26 |