| NPI | 1316376247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004641) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23225) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-05-16 |