NPI | 1073064820 |
---|---|
Other Name | KATIE MINGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00318) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MS PA00318) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2024-04-05 |