| NPI | 1982897062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005075) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MI 4401000228) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |