| NPI | 1447411731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003628) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01361) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2016-03-22 |