NPI | 1467430850 |
---|---|
Former Name | ELIZABETH N. RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002147) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2147) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2021-10-04 |