NPI | 1033363916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10544) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10544) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2022-11-08 |