| NPI | 1851634984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 003753) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-08-24 |