NPI | 1518444827 |
---|---|
Former Name | LAUREN MARIE KUMBIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 5420) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005420) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2020-01-09 |