| NPI | 1720056583 |
|---|---|
| Former Name | PAMELA M RIPKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2004-0022) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NM PA2004-0022) |
| 363A00000X Physician Assistant (Licence: MN 9359) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-11-21 |