| NPI | 1831617414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5813-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12556) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-06-18 |