| NPI | 1922692565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006549) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CO PA.0006549) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-03-29 |