| NPI | 1518582352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005992) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO PA.0005992) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-16 |