| NPI | 1760034656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009581) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2026-04-22 |