| NPI | 1336321041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 2545) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CO PA.0002545) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-07-24 |