| NPI | 1871093336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CO PA.0005071) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CO PA0005071) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2022-04-05 |