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 |