| NPI | 1780389213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008043) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001581) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008043) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-10-12 |