NPI | 1093330169 |
---|---|
Former Name | ELIZABETH J PINZKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 14568) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA061553) |
Enumeration Date | 2020-06-14 |
Last Update Date | 2023-08-31 |