| NPI | 1750835815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004765) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53784) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2022-04-13 |