| NPI | 1114256682 |
|---|---|
| Former Name | CAROLYN DEARDEN WELTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO 2931) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2931) |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2023-06-20 |