| NPI | 1437433810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005367) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4969) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2024-05-24 |