| NPI | 1225175516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004345) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-02-16 |