| 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 |