| NPI | 1437944659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15332) |
| Additional Taxonomies | 208VP0000X (Licence: MN 15332) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |