NPI | 1932122025 |
---|---|
Former Name | CHRISTINE CATHERINE COLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110006006) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9100640) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-01-10 |