NPI | 1689759326 |
---|---|
Former Name | ELIZABETH POUNDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0001754) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1754) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2018-10-16 |