| NPI | 1255972584 |
|---|---|
| Former Name | ELIZABETH KILLINGSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0006003) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA0006003) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-11-05 |