| NPI | 1134813413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009165) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7493) |
| 207R00000X Internal Medicine (Licence: WI Pending) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2026-03-03 |