| NPI | 1760884712 |
|---|---|
| Former Name | COLLEEN HARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110007500) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-06-26 |