| NPI | 1427381771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10668) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1323) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-08-24 |