| NPI | 1306383609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: MN 12365) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-12-06 |