| NPI | 1598333452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA.0006771) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-07-26 |