| NPI | 1033577846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 6405) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY 1045) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2026-04-03 |