| NPI | 1275768673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003685) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: NM PA2015-0097) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2024-05-28 |