NPI | 1184042376 |
---|---|
Former Name | HEIDI ERHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003929) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003929) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2020-03-02 |