NPI | 1437328374 |
---|---|
Former Name | KARI A BROCKMUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10400) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1106) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2020-08-21 |