| NPI | 1407098395 |
|---|---|
| Former Name | KARA LEIGH LAWLESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4383) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2018-07-20 |