NPI | 1982630836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1596) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 1596) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2011-01-03 |