NPI | 1164512471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA-2271) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA-2271) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2015-08-04 |