| NPI | 1710224746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006790) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22626) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2021-08-12 |