| NPI | 1225611361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008686) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA15745) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-02-10 |