NPI | 1265760367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2832) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2832) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2022-12-27 |