| NPI | 1356719306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004618) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2021-03-25 |