| NPI | 1912549312 |
|---|---|
| Former Name | COLLEEN OHARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09568) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-04-14 |