| NPI | 1457805699 |
|---|---|
| Former Name | JOANIE KRABBENHOFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5755) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 2524) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-01-31 |