| NPI | 1437862950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO PA.0007715) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-07-30 |