NPI | 1851842082 |
---|---|
Former Name | DANIELLE WARFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00411400) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058745) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2024-10-18 |