NPI | 1619953288 |
---|---|
Former Name | FRANCES JOLINE AMDAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9605) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 9605) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2021-01-28 |