| NPI | 1316714710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008304) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118206) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-03-05 |