| NPI | 1568446425 |
|---|---|
| Former Name | LUANN MARIE SCHMIDTHUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9713) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2506) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-08-11 |