| NPI | 1487410213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008499) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1216743) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-01-14 |