NPI | 1679011522 |
---|---|
Former Name | KIAH FRANCIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007318) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 23.003778) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2022-07-18 |