| NPI | 1730376328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003221) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2024-0011) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2024-04-16 |