| NPI | 1447827480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13807) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0887) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-10-21 |