NPI | 1003447905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006161) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-01-29 |
Last Update Date | 2024-06-24 |