| NPI | 1578177119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14090) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 14090) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 14090) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-08-07 |