NPI | 1528243573 |
---|---|
Former Name | JOANNA M. KORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ND PAC0528) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-01-08 |
Last Update Date | 2013-12-04 |