NPI | 1265981567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004818) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-09-27 |
Last Update Date | 2022-01-25 |