| NPI | 1346301249 |
|---|---|
| Former Name | COLLEEN LOUISE VENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NC 0010-01621) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-07-12 |