| NPI | 1235868894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009504) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA2843) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-12-05 |