| NPI | 1740702893 |
|---|---|
| Former Name | ELAINA NICOLE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 0005027) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0005027) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-09-16 |