| NPI | 1356709026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0005176) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA176310) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2022-02-22 |