| NPI | 1194090050 |
|---|---|
| Former Name | CAILIN ANTONIA BRAZEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0004142) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004142) |
| 363A00000X Physician Assistant (Licence: FL PA9106351) | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2021-07-19 |