| NPI | 1598249062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005887) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55791) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-12-21 |