NPI | 1700134202 |
---|---|
Former Name | ANNA V. HYLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003514) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA0003514) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2015-08-17 |