NPI | 1386842201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008271) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19246) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2025-06-26 |