| NPI | 1851822068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004938) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9005) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-06-10 |