| NPI | 1457765620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006228) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-04-20 |