| NPI | 1013232321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007140) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3257) |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 4612) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-12-11 |