NPI | 1205300233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0007365) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-01-12 |
Last Update Date | 2022-08-22 |