| NPI | 1952156481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 14989) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-02-19 |