| NPI | 1366310591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009537) |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2026-01-12 |