| NPI | 1609018738 |
|---|---|
| Former Name | BRANDY FRAZAO LAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004621) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO P.A.0004621) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01753) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-02-24 |