| NPI | 1316937550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10214) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001329) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2024-02-23 |