NPI | 1174181838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13105) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 13105) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2024-01-29 |