| NPI | 1245540038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008394) |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| 363A00000X Physician Assistant (Licence: LA 308039) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2024-04-15 |