NPI | 1477920908 |
---|---|
Former Name | CATHLEEN MARIE MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005392) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA.0005392) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2021-03-04 |