| NPI | 1689222648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CO PA.0005803) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-07-14 |