| NPI | 1003913898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0699) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 7371) |
| 363A00000X Physician Assistant (Licence: FL PA9108339) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-29 |