| NPI | 1831324375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO PA.0005152) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005152) |
| 363AM0700X Physician Assistant, Medical (Licence: MA PA3750) | |
| 363AM0700X Physician Assistant, Medical (Licence: NH 07777) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-12-10 |