| NPI | 1043687049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1020) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1434) |
| 363A00000X Physician Assistant (Licence: ND 1209645) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-07-17 |