| NPI | 1720523343 |
|---|---|
| Former Name | HANNAH JANE CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14846) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2962) |
| 363AM0700X Physician Assistant, Medical (Licence: MN 14846) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-03-27 |