NPI | 1922042464 |
---|---|
Former Name | COLETTE MARIE DREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-873) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C02922) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2023-08-16 |