NPI | 1083781876 |
---|---|
Former Name | ROBYN LYNN GIESKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7769) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1394) |
363A00000X Physician Assistant (Licence: MN 12410) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-10-04 |