| NPI | 1184065120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0003728) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60387620) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2013-11-12 |