NPI | 1144795352 |
---|---|
Former Name | LINDSAY LOUISE ORCHOLSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005538) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005538) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2023-06-01 |