| NPI | 1417133216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007166) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10005249) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2022-05-09 |