| NPI | 1841551157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007262) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 200533) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-05-14 |