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 |