| NPI | 1356994180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TC828) |
| 363A00000X Physician Assistant (Licence: KY TC828) | |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2023-12-13 |