| NPI | 1821125881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 000156) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CO 156) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-05-04 |