| NPI | 1023646882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13249) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 13249) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-07-18 |