| NPI | 1134556871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0003764) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003764) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-11-05 |