| NPI | 1285356048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO NA) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |