NPI | 1043998339 |
---|---|
Former Name | COLBY CANADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 208600000X Surgery (Licence: GA 11969) |
Enumeration Date | 2023-07-07 |
Last Update Date | 2025-10-07 |