| NPI | 1215318803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004302) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1121628) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-10-31 |