| NPI | 1457470189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003157) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3157) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-12-30 |