NPI | 1235200809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA617) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 617) |
363AM0700X Physician Assistant, Medical (Licence: CO PA00617) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2023-03-07 |