NPI | 1255304762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11841) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 11841) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2024-09-18 |