NPI | 1821443409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0008162) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0008162) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2024-08-19 |