NPI | 1821485079 |
---|---|
Former Name | DARCY K PAULUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004923) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-004923) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2023-11-22 |