NPI | 1053496778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9251) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 9251) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2012-01-17 |