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 |