| NPI | 1295033033 |
|---|---|
| Former Name | COURTNEY JOYCE KRAMETBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11205) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1251) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-08-24 |