NPI | 1932596475 |
---|---|
Former Name | AMBER BRITTANY HESSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11883) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-04-22 |
Last Update Date | 2020-08-21 |