| NPI | 1497207336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008042) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-12-11 |