NPI | 1598509937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0008657) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0008657) |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-07-26 |