| NPI | 1295258887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005069) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: CO PA.0005069) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-06-17 |