| NPI | 1295231371 |
|---|---|
| Former Name | KAREN ANN MACKALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009159) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-09-21 |