| NPI | 1336314715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006664) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0006664) |
| 363AS0400X Physician Assistant, Surgical (Licence: MO 2009010347) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2024-02-15 |