NPI | 1073596367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10256) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 10256) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2024-06-11 |