| NPI | 1427118231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0002046) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2046) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-05-11 |