| NPI | 1023640034 |
|---|---|
| Former Name | FAITH KELLY DAMMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13331) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-03-07 |