| NPI | 1932674140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006547) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07002) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-04-05 |