| NPI | 1851336408 |
|---|---|
| Former Name | DEANNA L WILLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 610-023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002184) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-05-19 |