NPI | 1356888275 |
---|---|
Former Name | AMY IRENE SPITZMUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12339) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-01-30 |
Last Update Date | 2024-01-19 |