| NPI | 1659941318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0918) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 13928) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2022-02-16 |