NPI | 1942275284 |
---|---|
Former Name | DANIELLE M MARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 1849) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00864) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2018-11-13 |