| NPI | 1659351625 |
|---|---|
| Former Name | DANA VANARTSDALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: HI AMD-451) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20899) |
| 363A00000X Physician Assistant (Licence: MA PA4897) | |
| 363AM0700X Physician Assistant Medical (Licence: NV PA1175) | |
| 363AM0700X Physician Assistant Medical (Licence: PA 1065016) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-02-05 |