| NPI | 1407212376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009307) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA57558) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2025-09-09 |