| NPI | 1023035029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0143) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ND PAC0143) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-09-27 |