NPI | 1467643072 |
---|---|
Other Name | CARRIE J MARZOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13507) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0902) |
363A00000X Physician Assistant (Licence: ME PA001104) | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2020-11-20 |