| NPI | 1407224090 |
|---|---|
| Former Name | ELIZABETH CLAIRE CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MN 13550) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 2518) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2020-12-21 |