NPI | 1780905620 |
---|---|
Former Name | DARCY J. REZAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02342) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02342) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2024-08-07 |