NPI | 1245254887 |
---|---|
Former Name | TERESA R RANSONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10124) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10124) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-21 |