| NPI | 1588148985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006116) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9111568) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-02-12 |