| NPI | 1013938232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9059) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 9059) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-07-31 |