NPI | 1326476078 |
---|---|
Former Name | KARA SLOWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056527) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056527) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2021-01-02 |