NPI | 1477545069 |
---|---|
Professional Name | JACQUELINE A. FITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0000888) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 888) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2015-07-31 |