| NPI | 1497906861 |
|---|---|
| Former Name | KARI M. MCCLERNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9114650) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003696) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2021-09-23 |