| NPI | 1942537915 |
|---|---|
| Former Name | COLLEEN ELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003640) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-003640) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2025-02-13 |