NPI | 1245228501 |
---|---|
Other Name | KARA DARLENE BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 01058) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01058) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2024-10-15 |