NPI | 1255739942 |
---|---|
Former Name | SAMANTHA FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 11767) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2014-12-11 |
Last Update Date | 2018-12-17 |