| NPI | 1841650306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 2046) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-08-26 |