| NPI | 1831970813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601012420) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9118031) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-03-19 |