NPI | 1891167805 |
---|---|
Former Name | KERI RATTINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004321) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004321) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2019-10-23 |