| NPI | 1477233724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704335874) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-11-03 |