| NPI | 1386420826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14642) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN NA) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-09-26 |