NPI | 1942568381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0003422) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA-3422) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2021-09-21 |