| NPI | 1598437717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006822) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15016) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-11-17 |