| NPI | 1770395956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA.0009014) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-06-11 |