| NPI | 1891021473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA0002894) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 2894) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2018-03-17 |