| NPI | 1811905383 |
|---|---|
| Former Name | MINDY LOUISE HOUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11065) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052560) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-24 |