| NPI | 1265831341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 4100) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2021-02-11 |