| NPI | 1518319094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA0005582) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: CO 5582) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2021-04-13 |