| 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 |