| NPI | 1316191851 |
|---|---|
| Former Name | ABBY LYNN GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004646) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053669) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-10-19 |