| NPI | 1356328454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0001639) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 1639) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-07-28 |