| NPI | 1336452374 |
|---|---|
| Former Name | ROBERTA JANE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10765) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0529) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2022-05-13 |