NPI | 1801242284 |
---|---|
Former Name | MARA ANN KLIPFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15232) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2016-05-04 |
Last Update Date | 2025-01-27 |