| NPI | 1932422045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA0006478) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06572) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2024-05-20 |