| NPI | 1093745374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006784) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 009498) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-11-09 |