NPI | 1922578970 |
---|---|
Former Name | EMILY NINA MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007558) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0007558) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2024-11-05 |