| NPI | 1285223008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007773) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 005136) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-08-29 |