| NPI | 1689611402 |
|---|---|
| Former Name | DEANNA DAKROUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004096) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103122) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-10-10 |