| NPI | 1700432994 |
|---|---|
| Former Name | LOREN ELIZABETH DANESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC MPA.3287) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001329) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-03-18 |