| NPI | 1295526234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009137) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO PA.0009137) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-08-01 |