NPI | 1437918471 |
---|---|
Former Name | COLLEEN COORS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-03-13 |
Last Update Date | 2024-10-08 |