| NPI | 1184032229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0004050) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004050) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-07-20 |