| NPI | 1730559741 |
|---|---|
| Former Name | DANIELLE MARIE COWEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12148) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003452) |
| 363A00000X Physician Assistant (Licence: SC 4701) | |
| 363AM0700X Physician Assistant, Medical (Licence: CT 003452) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 003452) | |
| 363AS0400X Physician Assistant, Surgical (Licence: SC 4701) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2025-04-21 |