| NPI | 1982052510 |
|---|---|
| Former Name | RENAIE LEBLOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005625) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 23.003694) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-03-15 |