| NPI | 1407307077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12248) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MN 12248) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-04-29 |