| NPI | 1396413225 |
|---|---|
| Former Name | DANIELLE MAE ANDRUSKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14671) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 14671) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-12-01 |