NPI | 1003492364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006741) |
Enumeration Date | 2021-03-18 |
Last Update Date | 2023-04-18 |