NPI | 1619156411 |
---|---|
Former Name | LISA M. TOFTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ND PAC0377) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0377) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2022-07-21 |