NPI | 1013428101 |
---|---|
Former Name | MONICA ROSCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005245) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005145) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2024-01-30 |