| NPI | 1639673320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0005267) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO PA.0005267) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005267) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-02-15 |