NPI | 1871912634 |
---|---|
Former Name | CHRISTINE E KOLLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID PA-1140) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-1140) |
363A00000X Physician Assistant (Licence: CA 51539) | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2019-05-06 |