| NPI | 1629781901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007712) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO PA.0007712) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-05-27 |