| NPI | 1194423285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 14391) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 14391) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-12-07 |