| NPI | 1033753181 |
|---|---|
| Former Name | AUBREY COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060916) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004946) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-10-24 |