NPI | 1235729344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007123) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-01-22 |
Last Update Date | 2024-05-10 |