| NPI | 1386027787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004742) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 357623) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-10-14 |