| NPI | 1144534264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003054) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3054) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-01-04 |