| NPI | 1609317585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007181) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 000000) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-06-09 |