| NPI | 1497148613 |
|---|---|
| Former Name | KARA CHARLOTTE KLOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9605) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX Q9605) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-03-22 |