| NPI | 1760963201 |
|---|---|
| Former Name | PAIGE TYNE REDIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006185) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-02-22 |