| NPI | 1710127659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002753) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA2753) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2021-11-10 |