| NPI | 1245929777 |
|---|---|
| Former Name | TAYLER PAULSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15089) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2024-12-09 |