| NPI | 1447906870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0929) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 13948) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |