| NPI | 1669497152 |
|---|---|
| Former Name | DENISE MARIE RHOADS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 01252) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052197) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-09-23 |