NPI | 1922202902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10274) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 988) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-24 |