NPI | 1124425368 |
---|---|
Former Name | KRISTEN E DOWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0004168) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004168) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2015-09-10 |