NPI | 1629104450 |
---|---|
Former Name | DEBRA ANN HEWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002263) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA-2263) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2018-10-18 |