| NPI | 1326581877 |
|---|---|
| Former Name | KARISA EUSTACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003723A) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 360002624A) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-12-13 |