NPI | 1033495932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003992) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21776) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2016-04-13 |