| NPI | 1205314960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 12567) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-02-09 |