| NPI | 1326549916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011219) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004357) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-11-23 |