| NPI | 1730323437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002765) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2765) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2025-08-18 |