| NPI | 1912579194 |
|---|---|
| Former Name | MADELINE A HIMPELMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14444) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008368) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-10-16 |