| NPI | 1528296381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 2791) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-03-20 |