NPI | 1588023634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0006264) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0006264) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2022-05-24 |