| NPI | 1164092185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006813) |
| Additional Taxonomies | 208800000X Urology (Licence: CO PA.0006813) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-07-06 |