| NPI | 1922032606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003361) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5601003361) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-07-30 |