| NPI | 1831015239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15838) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 9041-23) |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-07-30 |