| NPI | 1427126523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005064) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5601005064) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-03-02 |