NPI | 1306129697 |
---|---|
Former Name | JAMIE E CARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 3601) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR PA-1125) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2016-07-28 |