| NPI | 1710998075 |
|---|---|
| Former Name | ELIZABETH A MOGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: MN L0195960) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |