NPI | 1366912230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005650) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 5650) |
363A00000X Physician Assistant | |
Enumeration Date | 2018-12-04 |
Last Update Date | 2024-01-11 |