| 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 |