| NPI | 1588800346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004250) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2019-02-27 |