| NPI | 1437857190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009124) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-13028) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-10-06 |