| NPI | 1326521287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO PA.0005550) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-10-30 |