| NPI | 1285839050 |
|---|---|
| Former Name | ROSE ROGSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10003688) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-06-23 |