| NPI | 1093477713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008464) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003483A) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-07-05 |