| NPI | 1144809534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008045) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2602) |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0008045) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-06-19 |