| NPI | 1083181671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010757) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000951) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-07-22 |