NPI | 1922525328 |
---|---|
Former Name | LINDSAY MARIE ORTLIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12557) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4493) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2023-09-14 |