NPI | 1427354786 |
---|---|
Former Name | TAYLOR CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0003612) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-02-03 |
Last Update Date | 2016-01-29 |