NPI | 1851497705 |
---|---|
Former Name | DANA ELIZABETH GRABEEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0008987) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 610) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2025-09-08 |