| NPI | 1417992132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0001301) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 1301) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-11-15 |