| NPI | 1821231333 |
|---|---|
| Former Name | JEANINE CATHERINE POPLAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005289) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4342) |
| 363AM0700X Physician Assistant, Medical (Licence: WY PA889) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2021-01-06 |