NPI | 1942889225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13674) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 13674) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-11-02 |