| NPI | 1598006868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007085) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08304) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-05-17 |