| NPI | 1144261694 |
|---|---|
| Former Name | KAREN RENEE FORTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.436) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA 436) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-03-11 |