| NPI | 1427560861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13817) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3715) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-05-28 |