| NPI | 1770032823 |
|---|---|
| Former Name | DANAE RASCHELLE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6493) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 6493) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-09-10 |