| NPI | 1346601507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0634) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1681) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2023-06-21 |