NPI | 1013212877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008185) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801092104) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2022-07-21 |