NPI | 1831159219 |
---|---|
Former Name | KARI ANN WOZNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9685) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN P-475) |
207Q00000X Family Medicine (Licence: MN 9685) | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2022-01-31 |