| NPI | 1760947907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006038) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2022-03-23 |