| NPI | 1417004912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0363) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3448) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-12-27 |