| NPI | 1124126412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10140) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2011013297) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-02-04 |