| NPI | 1225567274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007272) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002256A) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-22 |