| NPI | 1245304252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3140) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2006 0041) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-09-30 |