NPI | 1891931275 |
---|---|
Former Name | JESSICA PARRISH BRANSTETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003651) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104804) |
363AM0700X Physician Assistant, Medical (Licence: CO PA0003651) | |
Enumeration Date | 2009-01-06 |
Last Update Date | 2018-10-19 |