| NPI | 1447247655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 125926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 431047) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-03-29 |