| NPI | 1568960813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006908) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-10-20 |