| NPI | 1831537380 |
|---|---|
| Former Name | TAMARA MARIE OSTBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11327) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 1902) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-07-21 |