| NPI | 1770910317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 00003801) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO AP144213) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-11-13 |