| NPI | 1285660860 |
|---|---|
| Former Name | KAREN LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 000912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 163873) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-02-22 |