NPI | 1831354109 |
---|---|
Former Name | COLLEEN M. FINEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01537) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107885) |
363AM0700X Physician Assistant, Medical (Licence: AL PA.1381) | |
Enumeration Date | 2008-07-25 |
Last Update Date | 2025-08-20 |