NPI | 1467114173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0008596) |
Enumeration Date | 2021-10-10 |
Last Update Date | 2024-08-22 |