NPI | 1730731498 |
---|---|
Former Name | ERIN GAIL OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007574) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
Enumeration Date | 2019-07-12 |
Last Update Date | 2022-10-04 |