NPI | 1023533759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005094) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0005094) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2020-09-25 |