NPI | 1346707908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009032) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: TX PA13188) | |
Enumeration Date | 2019-03-01 |
Last Update Date | 2025-04-22 |