| NPI | 1588334577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CO PA.0007767) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-03-28 |