NPI | 1629781281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007716) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA.0007716) |
Enumeration Date | 2022-12-28 |
Last Update Date | 2024-04-15 |