NPI | 1023322963 |
---|---|
Former Name | KATHERINE MARIE SHINDELAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10865) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-08-03 |
Last Update Date | 2020-08-21 |