| NPI | 1851673495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006278) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015053) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-05-17 |