NPI | 1164933255 |
---|---|
Former Name | COLLEEN MARIE PLUMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059319) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059319) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2022-12-20 |