| NPI | 1982225744 |
|---|---|
| Former Name | COURTNEY LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14450) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 100059) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-08-28 |