| NPI | 1154738805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7132-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 074338) |
| 363A00000X Physician Assistant (Licence: MN 13145) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-07-16 |