NPI | 1699802181 |
---|---|
Former Name | DEBORAH A MANTEUFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 140806) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2099) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2022-07-14 |