| NPI | 1891753851 |
|---|---|
| Former Name | DARLENE LYNN FALTAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP000124800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00124800) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-12-14 |