| NPI | 1215577465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006277) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-08-23 |