NPI | 1427301415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005363) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 06590) |
363A00000X Physician Assistant (Licence: CO PA.0005363) | |
Enumeration Date | 2012-10-16 |
Last Update Date | 2024-12-18 |