| NPI | 1265951701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.5151) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 193200000X) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2025-02-28 |