| NPI | 1487076089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004434) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017313) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2023-10-16 |