| NPI | 1528362217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005412) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07009) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2023-07-31 |