NPI | 1124090410 |
---|---|
Former Name | EMILY FLINT BARTZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003084) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA14567) |
363AM0700X Physician Assistant, Medical (Licence: CO 3084) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2024-10-23 |