| 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 |