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 |