| NPI | 1376195669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13563) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 0010-09151) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 001009151) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 13563) | |
| 363A00000X Physician Assistant (Licence: NC 0010-09151) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-10-20 |