| NPI | 1831297324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND PAC0050) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-05 |