| NPI | 1295722270 |
|---|---|
| Former Name | KAREN L VANDAELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003196) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50001431) |
| 363AS0400X Physician Assistant, Surgical (Licence: MI 5601003196) | |
| 363A00000X Physician Assistant (Licence: OH 50001431) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-10-23 |