| NPI | 1700330735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008255) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10698) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2025-01-28 |