NPI | 1962650069 |
---|---|
Former Name | CHERILYN A. VAIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005795) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3708) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2024-01-23 |