NPI | 1578807970 |
---|---|
Former Name | ABIGAIL LEAH MOSKOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003578) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3578) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2018-10-22 |