NPI | 1467938399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14218) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-07-13 |
Last Update Date | 2022-10-11 |