NPI | 1376299685 |
---|---|
Former Name | KARA MICHELLE LOVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4877) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-008388) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2024-11-19 |