| NPI | 1528531894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009361) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060435) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-09-22 |