| NPI | 1255885695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007083) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031268) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2023-06-26 |