NPI | 1598511131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0009319) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009319) |
Enumeration Date | 2024-04-25 |
Last Update Date | 2025-09-10 |