| NPI | 1164719225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA-3245) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0003245) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-09-26 |