| NPI | 1558094037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 8663) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 5779) |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2025-01-21 |