NPI | 1841829231 |
---|---|
Former Name | CHRISTA MARIE PAMPERIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006756) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-04-07 |
Last Update Date | 2022-09-20 |