| NPI | 1275860868 |
|---|---|
| Former Name | KARLA KANONGATAA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21532) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 7495099-1206) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2022-11-07 |