| NPI | 1235107533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008418) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA940) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2024-05-08 |