| NPI | 1841307956 |
|---|---|
| Former Name | DANIELLE M VILLANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002311) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030493) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-06-18 |