| NPI | 1356880413 |
|---|---|
| Former Name | DANA MARIE SNUGGERUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12366) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-11-06 |