NPI | 1801437413 |
---|---|
Former Name | ALYSSA ROSE FRIESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 13166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 13166) |
Enumeration Date | 2019-10-04 |
Last Update Date | 2023-11-02 |