| NPI | 1598190761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007519) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6398) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2025-07-29 |