| NPI | 1285100479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005596) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2025-0069) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2025-07-29 |