| NPI | 1407477334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0007761) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CT 23.004806) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-04-24 |