NPI | 1477649358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0001190) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 1190) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2017-11-02 |