| NPI | 1730574310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7920-23) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6077) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-07-28 |