NPI | 1467480061 |
---|---|
Former Name | LYNN THERESE SPINDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12507) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1110-023) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2018-03-17 |