| NPI | 1336902832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1086) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-08-22 |