NPI | 1144469354 |
---|---|
Professional Name | JEANNINE MARIE RANDOLPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CO 1527) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0001527) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2025-05-09 |