| NPI | 1295204352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0009040) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111736) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-03-31 |