| NPI | 1235257346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003260) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA-002706-L) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-03-21 |