| NPI | 1770610719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0001545) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 1545) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-03-21 |