| NPI | 1043863285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0005852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO PA.0005852) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO PA.0005852) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-05-28 |