| NPI | 1528344546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004208) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004628) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2024-01-04 |