| NPI | 1598254351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007893) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 0013888) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-07-23 |