NPI | 1841570876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003228) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 3228) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2021-07-22 |