NPI | 1902074255 |
---|---|
Former Name | TAMMY S KLIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0002572) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002572) |
363AM0700X Physician Assistant, Medical (Licence: CO PA-2572) | |
363AM0700X Physician Assistant, Medical (Licence: CO 2572) | |
363AS0400X Physician Assistant, Surgical (Licence: CO PA-2572) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2024-02-05 |