NPI | 1730559741 |
---|---|
Former Name | DANIELLE MARIE COWEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 4701) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12148) |
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) | |
Enumeration Date | 2015-10-02 |
Last Update Date | 2024-04-18 |