| NPI | 1649252537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007276) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 086001738) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-12-16 |