| NPI | 1568287357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009015) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0009015) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0009015) | |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2026-04-27 |