NPI | 1841264967 |
---|---|
Former Name | JOANN DANISHANKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002273) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA002033L) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-09-16 |