| NPI | 1336880137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.8484) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA61397) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-12-23 |