NPI | 1215916994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9626) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 9626) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2020-10-29 |