| NPI | 1558899625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005040) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2020-07-24 |