NPI | 1679578728 |
---|---|
Former Name | DANIELLE R. GROCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA051418) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051418) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2023-03-07 |