| NPI | 1447038997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008353) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO PA.0008353) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-06-17 |