| NPI | 1831549906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 5687) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6357) |
| 363A00000X Physician Assistant (Licence: CA 53329) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-02-09 |