| NPI | 1447464094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1881) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO PAC1881) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-04-23 |