NPI | 1477731271 |
---|---|
Former Name | KAREN LYNN STARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51826) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63103-20) |
Enumeration Date | 2008-02-04 |
Last Update Date | 2016-12-07 |