NPI | 1235199811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA-3274) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1759-023) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2023-02-15 |