| NPI | 1073998936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005894) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2021-03-31 |