NPI | 1487339990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008229) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-06-21 |
Last Update Date | 2024-01-03 |