| NPI | 1760002752 |
|---|---|
| Former Name | CASEY HOVLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13668) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-07-27 |