NPI | 1346737780 |
---|---|
Former Name | KAREN A FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2018-04-20 |
Last Update Date | 2022-03-31 |