NPI | 1760424709 |
---|---|
Former Name | LORRAINE ZOVI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0000618) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA184661) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-11-20 |