NPI | 1184341422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0007666) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-10-27 |
Last Update Date | 2023-01-30 |