| NPI | 1881916401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002968) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60371999) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2017-08-16 |