| NPI | 1578278784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007832) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-03-16 |