| NPI | 1427338300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11013) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1611) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2020-08-24 |