| NPI | 1437205150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2003028166) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-09-07 |