NPI | 1174282388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007159) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-10-03 |