| NPI | 1902001001 |
|---|---|
| Former Name | SANDRA S DANIELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-10490) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10490) |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 003106) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-03-08 |