NPI | 1922426329 |
---|---|
Former Name | JOHANNA KRISTEN ERSTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 65538) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 65538) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2021-10-08 |