| NPI | 1497318323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007734) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007852) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-02-16 |