| NPI | 1295061729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002904) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2904) |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2022-11-29 |