| NPI | 1912361593 |
|---|---|
| Former Name | DANIELLE PARADIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01018) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5691) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-05-05 |