| NPI | 1245585587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0488) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ND PAC0488) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-10-23 |