| NPI | 1497544274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601013081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5601013081) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-10-27 |