| NPI | 1518418599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005369) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058496) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-12-06 |