| NPI | 1831704394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006411) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO MG6211421) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-06-16 |