NPI | 1316987092 |
---|---|
Former Name | KARA STRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60346696) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical (Licence: WA PA60346696) | |
363A00000X Physician Assistant (Licence: WA PA60346696) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2014-05-20 |