| NPI | 1952931180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008334) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14753) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-05-01 |