| NPI | 1013283621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0003385) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055409) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-07-22 |