NPI | 1194186445 |
---|---|
Former Name | SARAH ELIZABETH DUEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004576) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4576) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2022-12-07 |