| NPI | 1518330570 |
|---|---|
| Former Name | COLLEEN N MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12002) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 12002) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-07-13 |