| NPI | 1336524826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12338) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005527) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2018-11-26 |