| NPI | 1043252968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002770) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA0000001278) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-04-25 |