| NPI | 1518389063 |
|---|---|
| Former Name | BRITTANY LAUREN GANSAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0003898) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: CO 0003898) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2023-12-07 |