| NPI | 1467636787 |
|---|---|
| Former Name | RENAE MUELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0002974) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10005322) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-06-27 |