| NPI | 1326534348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008787) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12392) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-11-13 |