| NPI | 1073006672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MN 14341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008251) |
| 363A00000X Physician Assistant (Licence: MN 14341) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-06-19 |