| NPI | 1376853085 |
|---|---|
| Former Name | KARLYN MARIE MISELIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002500) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 2500) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-09-10 |