| NPI | 1366426017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA-1847) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1847) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2010-09-23 |