NPI | 1225026552 |
---|---|
Former Name | LINSEY STARCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 2113) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002113) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-07-24 |