| NPI | 1821631466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007071) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110006879) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0007359) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA031671) | |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2022-02-28 |