| NPI | 1013226828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO DR.0027608) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NJ 25MP00244200) |
| 363A00000X Physician Assistant (Licence: CO 3401) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2018-10-18 |