| NPI | 1487317582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011405) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2025-03-30 |