| NPI | 1437499183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3521) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055979) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2021-06-02 |