| NPI | 1346743911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA30005237) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55261) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-04-18 |